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Individual

MRS. AMANDA J CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT ATC CMPT CWC

Contact information

Practice address
4131 UNION RD, SAINT LOUIS, MO 63129-1064
(314) 274-9222
(314) 200-9609
Mailing address
8855 BRACKEN CIR, SAINT LOUIS, MO 63123-1110
(314) 440-2558

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070012900
IL
225100000X
Physical Therapist
Primary
2002004499
MO

Other

Enumeration date
08/30/2006
Last updated
02/10/2020
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